MEDICARE: DR. ANN M WINTON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	5827	NY
2	103T00000X	Psychologist	5827	NY
3	103TA0700X	Adult Development & Aging Psychologist	5827	NY
4	103TC0700X	Clinical Psychologist	5827	NY
5	103TC2200X	Clinical Child & Adolescent Psychologist	5827	NY
6	103TF0000X	Family Psychologist	5827	NY
7	103TF0200X	Forensic Psychologist	5827	NY
8	103TP2701X	Group Psychotherapy Psychologist	5827	NY

General Provider Information

NPI Number	:	1376696229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN M WINTON PH.D.

Provider Business Mailing Address
First Line	:	2 W 67TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-6241
Country	:	US
Telephone Number	:	212-246-0092
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 W 67TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-6241
Country	:	US
Telephone Number	:	212-246-0092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	02/14/2013

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